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COUNTY ROAD 33 8~ POWERLINE SUBSIDENCE SURVEY <br />• <br />DATE: ~'~TIME: q: °~,~yNAME: ~ ~~u ~~~ <br />WEATHER CONDITIONS: ~uyINN PANEL: / R~, <br />7 <br />ROAD CONDITIONS YES NO COMMENTS <br />CRACKING (~/AC0.5 ,q.-~ 3~-}}$0 <br />BUCKLING Q,v~isG Dre~( ~nA9 ~ <br />VISIBLE SETTLING AOD~~ w;t{¢ iN <br />SINK HOLES T <br />V ~yp~, , (~-~I ~x C Vfle~S..}. <br />OTHER ~~ `.e RUe Are ire nn~n_. <br />5 <br />MAINTENANCE Sv?.2 M I o <br />y ~J21M,t`~i'~~ df '~,J+N4 `oZ.~l~ <br />SHOULDER/FILL CONDITION YE$ NO COMMENTS <br />CRACKING ~ g ~ ~F <br />• BUCKLING ~~ <br />VISIBLE SETTLING J~ <br />SINK HOLES 1~ <br />OTHER / <br />MAINTENANCE <br />POWERLINE CONDITION YES NO COMMENTS <br />LINE INTACT <br />X-ARMS O. K. -y- <br />CHANGE IN SPAN <br />POLE TILTING ~- <br />OTHER <br />MAINTENANCE <br />~ ~ <br />~ ~ 15 ~~~ <br />e: \documen t\formsls u bside. frm <br />T <br /> <br />I ~ ~~~ <br />~1~ <br />I ~w~ <br />i <br />06/13/96 <br />